NPIMap

Organization Active NPI

Gateway Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1215919360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
7001117R Issued in NY
Legal business name
GATEWAY DIALYSIS CENTER
Practice address
Four Seasons Dialysis Center
1170 East 98TH Street
Brooklyn, NY 11236-4006
Phone
(718) 223-2100
Fax
(718) 223-2110
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jack Meisels
Title
Administrator
Phone
(718) 223-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 7001117R NY Primary

Addresses

Primary practice location

Four Seasons Dialysis Center
1170 East 98TH Street
Brooklyn, NY 11236-4006

Mailing address

Four Seasons Dialysis Center
1170 East 98TH Street
Brooklyn, NY 11236-4006
Phone (718) 223-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215919360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FOUR SEASONS DIALYSIS CENTER",
            "address_2": "1170 EAST 98TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364006",
            "telephone_number": "718-223-2100",
            "fax_number": "718-223-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOUR SEASONS DIALYSIS CENTER",
            "address_2": "1170 EAST 98TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364006",
            "telephone_number": "718-223-2100",
            "fax_number": "718-223-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEISELS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-223-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7001117R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.